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PROOF OF INSURANCE (2028)DATE (MMIDDMYY) " CERTIFICATE OF LIABILITY INSURANCE 07 '1 12025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAMC �PHONE FAX BIBERK � Nn.eXtl 844 472 0967 203-654-3613 I�ac,Na),. P.O. Box 113247 E-MAIL customerservice@biBERK.com Sfamfnrri ('T nfigl 1 ADDRE`SS INSURED Fire Safety Advisors, LLC 9311 Velardo Drive Huntington, CA 92646-2314 P C'nTIC11^ATE R11 YINDCD. INSURE R A Berkshire Hathaway >I AFFORDING COVERAGE NAIC # haway Direct Insurance Company 10391 INSURER D : INSURER E: RFVISIAN NIIMRFR! THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL. SUBR POLIO EFR POLICY EXP LTR TYPEOFINSURANCE POLICYNUMBER LIMITS COMMERCIAL GENERAL LIABILITY HOCIaI EACH,...., _1..000,,0L00 ..X tN A CLAIMS -MADE OCCUR P3.P''pa,;,.y+{sm�;.;;.4pZG.ti'k'"'F.L.... q N9613968546 02/02/2025 02/02/202E MH D EXP lAny one pvfsx nY $__ 5,000 '... PERSONAL BADVINJURY $ Included GEN'P®GGC�EGAT E LIMIT APPLIES PER: I GENERAL AGGREGATE .. $ ., 000 ' ..G PRO- LOGPRODUCTS COMPIOP AGO $ ......2,000 2,000,000 X OTHER- $ 1 CO'St1hIkC�»rlt9CafE!LIDIIIIl $ AUTOMOBILE LIABILITY IEa �aa�laFrlkl _ .. ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per aocklent) $ AUTOS ONLY AUTOS HIRED NON -OWNED PROPERTY nDAMAGE._ $..... AUTOS ONLY ,......_..YAAJTOSONLY - !F..id ,. ,. ..,. . 5 UMBRELLA LIAB ' OCCUR ..,..,u ..� EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE 'SS DED RETENTION S r OTIF. WORKERS COMPENSATION YUd .._ AND EMPLOYERLIABILITY S' YIN . ..... ANYPROPRIErOR/PARTNER/EXEGUTIVE - '—`�" E L EACH ATL CCIDENr OFFICERIMEMBEREXCLUDED? N f A � (Mandatary In NH) I. I DI r,_ASI[EA FMP OYES $_ IF yyes, describe under DESCRIPTION OF OPERATIONS below E L DISEASE -POLICY LIMIT $ A Professional Liability (Errors & N9PL818963 02/02/2025 02/02/2026 Per Occurrence/ $1,000,0001 Omissions): Claims -Made Aggregate $1,000,000 mm ..... ...... .......__. .a.._._.....,,,,..... ......_. ................ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD IN, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of El Segundo THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main St El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE Irl ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD DATE (MM/DD/YYYY) AGENCY CUSTOMER ID: ....��........,... -w_..............� 07/11/2025 LOC AI: ___�...._ AteC"RV ADDITIONAL REMARKS SCHEDULE Page AGENCY NAMED INSURED BIBERK Fire Safety Advisors, LLC ICY NUMBER N9BP968546 9311 Velardo Drive ••--------• - Huntington, CA 92646-2314 CARRIER NAIC CODE mmmmmmmm�ITITITITIT�•� Berkshire HathawayDirect Insurance Company P Y •������������������ 10391 EFFECTIVE DATE: (MM/DD/YYYY) 02 02 2025-02 02 2026 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 5FORM TITLE: _.. CERTIFICATE OF LIABILITY INSURANCE DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES - CONTINUANCE Non -Owned Auto coverage is included in the general liability policy limits. Hired Auto coverage is included in the general liability policy limits. This policy is primary as to losses it covers, and the Insurer will not seek contribution if there is a written agreement between the insured and the certificate holder. Awaiver of transfer of rights exists on this policy as it pertains to general liability in favor of City of Brea. City of Brea is listed as additional insured as it pertains to general liability. ACORD 101 (2008/01) W cuuo wwrcu wrcrvrv, w.. rug y.w The ACORD name and logo are registered marks of ACORD 3 of 3 a DATE (MMIDDNYYY) CERTIFICATE OF PROPERTY INSURANCE 07/11/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. CONTACT PRODUCER NAME, FAX -203) 12W IAC N.1� (844) 472-0967 361- le, BIBERK """ypp Y!------- . ....... " ­­520.' -- P.O. Box 113247 FROD uCER Stamford, CT 06911 COVERAGE ---------- INSURED IN.UR B er k shire Hathaway Direct Insurance Compai Fire Safety Advisors, LLC JNSURER,C! . . .... 9311 Velardo Drive INSURER 0, Huntington, CA 92646-2314 _INSURE _K� . . .... INSURER F! 01c;%fialf1I'd LOCATION OF PREMISES I DESCRIPTION OF PROPERTY (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Location: 9311 Velardo DriveHuntington, CA 92646-2314 Bldg #001: Consultants - All Other - 4167702 ............ . . ............. .. . THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,.-- ............. . . . ...... — . . .... . ......... mm . . . ......... ILIT R I TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION S DATE (MMfDDffY-YY) DATE (MMIDDNYYY) COVERED PROPERTY LIMITS R IX PROPERTY BUILDING S 0 CAUSES OF LOSS DEDUCTIBLES PERSONAL PROPERTY $ 0 BASIC BUILDING N913P968546 02102/2025 02/02/2026 BUSINESS INCOME S 0 5 BROAD 1";� 0 EXTRA EXPENSE S 0 �X SPECIAL RENTAL VALUE S I EARTHQUAKE BLANKET BUILDING 5 n/a WIND BLANKET PERS PROP S n/a FLOOD BLANKET BLDG & PP S n/a j INLAND MARINE TYPE OF POLICY CAUSES OF LOSS NAMED PERILS POLICY NUMBER CRIME S TYPE OF POLICY S BOILER & MACHINERY EQUIPMENT BREAKDOWN SPECIAL CONDITIONS r OTHER COVERAGES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of El Segundo ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main St El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE W I vva-fu I a M%I%JMLJ . V . --.- ACORD 24 (2016103) The ACORD name and logo are registered marks of ACORD POLICY NUMBER:N9BP968546 Date Processed: 07/11/2025 BUSINESSOWNERS BP 12 01 07 02 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. HSII' ESSOWNERS POLICY CHANGES S Fire Safety Advisors, LLC 9311 Velardo Drive Huntington, CA 92646-2314 THIS ENDORSEMENT FORMS A PART OF THE POLICY NUMBERED BELOW, POLICY NUMBER POLICY CHANGES EFFECTIVE COMPANY N9BP968546 07/10/2025 Berkshire Hathaway Direct Insurance Company NAMED INSURED AUTHORIZED REPRESENTATIVE Fire Safety Advisors, LLC CHANGES Additional Insured - Designated Person or Organization Added Name of Person or Organization: City of Brea Address: 350 Main St City: El Segundo State: CA Zip: 90245 Policy Forms Added Additional Insured - Designated Person or Organization (BP 04 48 01 06) BP 12 01 07 02 © ISO Properties, Inc., 2001 Page 1 of 2 0 POLICY AMOUNT AND PREMIUM ADJUSTMENT Limits Of Insurance Premiums Coverage Previous Limit New Limit Previous New ❑ Add'I Premium Descri tion Of Insurance Of Insurance Premium Premium ❑ Return Premium $ $ $ TOTAL PREMIUM ADJUSTMENTS PREMIUM DUE AT POLICY CHANGE EFFECTIVE DATE ADDITIONAL RETURN $ 0.00 $ 0.00 REMOVAL If Covered Property is removed to a new location that is described on this Policy Change, you may PERMIT extend this insurance to include that Covered Property at each location during the removal. Cov- erage at each location will apply in the proportion that the value at each location bears to the value of all Covered Property being removed. This permit applies up to 10 days after the effective date of this P'olic Chan e after that, this insurance does not appl�atthe Ms location. Page 2 of 2 © ISO Properties, Inc., 2001 BP 12 01 07 02 POLICY NUMBER: N9BP968546 BUSINESSOWNERS BP 04 48 01 06 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION: This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM SCHEDULE Name Of Additional Insured Person(s) Or City of Brea Information reain the to complete this Schedule, if not shown above, will be shown the Declarations.wwwww The following is added to Paragraph C. Who Is An Insured in Section 11 — Liability: 3. Any person(s) or organization(s) shown in the Schedule is also an additional insured, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omis- sions or the acts or omissions of those acting on your behalf in the performance of your ongoing operations or in connection with your premises owned by or rented to you. BP 04 48 01 06 @ ISO Properties, Inc., 2004 Page 1 of 1 0 POLICY NUMBER: N9BP968546 BUSINESSOWNERS BP 04 48 0106 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM SCHEDULE Name Of Additional Insured Persons Or City of Brea -- Information required to complete this Schedule, if not shown above„ will be shown in the Declarations. The following is added to Paragraph C. Who Is An Insured in Section II — Liability: 3. Any person(s) or organization(s) shown in the Schedule is also an additional insured, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omis- sions or the acts or omissions of those acting on your behalf in the performance of your ongoing operations or in connection with your premises owned by or rented to you. BP 04 48 0106 © ISO Properties, Inc., 2004 Page 1 of 1 0 CITY OF EL SEGUNDO WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SUBJECTS AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN LABOR CODE § 3706, INTEREST, AND ATTORNEY'S FEES. I affirm under penalty of perjury under the laws of California one of the following declarations: (_) I have and will maintain a certificate of consent of self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Labor Code § 3700 for the performance of the work set forth the agreement with the City of El Segundo. Policy No. (__) I have and will maintain workers' compensation insurance as required by Labor Code § 3700 for the performance of the work for which the agreement with the City of El Segundo is executed. My workers' compensation insurance carrier and policy number are: Carrier Name of Agent Policy Number Expiration Date Phone # ( J I certify that, in the performance of the work set forth in the agreement with the City of El Segundo, I will not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Labor Code § 3700 1 must immediately comply with thoions or the agreement will automatically become void. Signature of Applicant se provis� Date 07/01/2025 Print Name Noah Fisher Agreement for: Dated: Reviewed by: